Registration Form


Name

Spouse's Name

Address

Address 2

City, State, Zip

Phone

Email

Names and Ages of Children

Name Age Name Age
















Lunch Auction Signup (ages 18 and up)



Talent Show Signup



I release East Texas Mini Shindig and individuals from liability in case of accident during activities related to East Texas Mini Shindig.


Parent’s/Guardian’s Signature Date




Fees

Quantity Description (prices are total for the weekend) Line Total

Tent Sites$45

RV Sites$75

Bunkhouse$195

Cabin$300

Private Cabin$450

Motel Room- 3-6 people$480

Single Dorm/Cabin Bunk$75

Lodges - Call for availability
Registration Fees (Required)

Family Registration Fee (Due at time of Registration)$75

Single Registration Fee (Due at time of Registration)$30
Meals (Optional)

Meals Plan - 9 Meals (children 5 and under FREE with paying parents)$72
Other

Activities Armbands - Age 7 and up - $30

Shindig TShirt - Youth S,M,L Adult S,M,L,XL           Sizes:
$10

Booth at market$25

Sample or coupon$10
 
Total


Make all checks and money orders payable to Leah Powers (East Texas Mini Shindig in memo section)